Spring 2006 - Stony Brook University School of Medicine

R ADIOLOGY LETTER
A Radiologist’s Approach to Imaging Vistas
Spring 2006
Stony Brook University
Virtual Colonoscopy Research News
by Jerome Z. Liang, Ph.D.
The Virtual Colonoscopy Research Project was recently
renewed with over $1M from the National Institutes of
Health (NIH), entitled “Developing Virtual Colonoscopy
for Cancer Screening”. The Principal Investigators are
Professors Jerome Z. Liang, Ph.D., of the Radiology
Department and Arie E. Kaufman, Ph.D., of the
Computer Science Department. This research first started with an anthropomorphic phantom experiment,
which lead to the first patient trial in December of 1995;
both at the Radiology Department of the University
Hospital. A joint effort from the Departments of
Radiology, Computer Science and Gastroenterology
advanced this innovative technology to commercial stage
at the Long Island High Tech Incubator at Stony Brook
with FDA approval in November of 2000. An independent clinical trial on the FDA-approved commercial visualization system by 1,233 asymptomatic patients showed
a comparable performance to the conventional fiber
optic colonoscopy in detecting clinically significant
polyps greater than 8mm
diameter size, as reported in
the December 2003 issue of
the New England Journal of
Size of polyps in (in diameter)
Medicine. This favorable
performance is technically
due to (1) the use of a lessAll polyps
stressful bowel preparation,
(4 mm ~ 3 cm)
followed by electronic colon
Small/Median polyps
cleansing (i.e., image pro(4 mm ~ 10 mm)
cessing technology) of the
Large polyps
residual colonic materials
( > 10 mm)
from the virtual abdominal
images, and (2) the highquality visual navigation (i.e.,
image visualization technology) through the cleansed
virtual colon, resembling the
procedure of the clinical fiber
optic colonoscopy. This NIH
renewal will further develop
into a computer model used
to inspect the entire virtual
colon, looking for polyps,
named Computer-Aided
Detection of polyps
(CADpolyp). Our recent peerjournal paper (the December
2005 issue of Medical Physics) has shown an average of
three to four false positives (without missing the true
polyps) per patient study by the CADpolyp (see the table
below).
HIGHLIGHTS
In other words, a radiologist may only need to check the
small number of suspects detected by the computer
expert, instead of inspecting the entire colon mucosa,
to find the true polyps. This can save a significant
amount of time.
Managed Care
2
New Faculty
3
Lectures
3
Departmental
News
In addition to further development of CADpolyp, another
task of this renewal is to improve our electronic colon
cleansing technology. At the Radiological Society of North
America (RSNA) annual meeting in December of 2005,
we presented improved polyp detection results by our
electronic colon cleansing technology over our previous
one which was licensed to Viatronix Inc. in 2000 (see the
figure). The results were obtained by applying our current
and previous technologies to the NIH database, which
consists of 52 patient studies with 44 polyps of size
greater than 5 mm (including four flat polyps).
Benefits of Fusion
Imaging
6
Radiologic
Technology and
Nuclear Medicine
Programs
7
Research
7
Lesion Located Fraction (by polyp)
100%
90%
80%
Mean number of FP per dataset
Mean number of FP per polyp ~ % of eliminated candidates
2.68/2.82 ~ 93.1%
1.21/1.61 ~ 96.9%
0.58/0.90 ~ 98.5%
3.44/3.10 ~ 92.8%
1.56/2.00 ~ 97.1%
1.00/1.14 ~ 97.9%
2.00/2.43 ~ 93.5%
0.90/1.17 ~ 96.2%
0.20/0.50 ~ 99.2%
By the improvement of electronic colon cleansing and
further development of
CAD-polyp, this renewal shall
advance virtual colonoscopy
as a safe, cost-effective,
minimal-invasive screening
modality for prevention from
the deadly colorectal cancer.
For detailed information on
this project and related
researches, please visit:
www.mil.sunysb.edu/iris
4-5
Our CADpolyp
results from 153
patient studies
at Stony Brook.
For 100% detection sensitivity,
the number of
false positives
(FPs) was in the
range of three to
four per patient
study. More than
90% suspects
which mimic
polyps on the
colon wall were
eliminated by
our CADpolyp.
Chairman’s Corner
Managed Care Update
by Donald P. Harrington, M.D., M.A., F.A.C.R.
Aetna
HMO and Open Access
Non-HMO
Managed Choice
Affinity
American Medical Life
APA Partners
Atlantis (POS Plan Only)
BCE Emergis (UP & UP)
BSC-Maxon
Beechstreet
Empire BC/BS Managed Care Network
HMO-Healthy NY/Blue Choice
PPO
Federal Employee
Senior Plan (HMO)
Indemnity
Child Health Plus
Out of State
Direct POS and EPO
HMO Direct
CDHP
Cambridge
CIGNA
HMO
Open Access (PPO)
First Health
GHI
HMO and PPO National
HMO Value Plan
HMO Value Plan Direct Access
PPO Flex Select
Medicare Choice PPO
Category “D”
Transit Workers
Guardian
Healthfirst
HMO
Healthfirst 1199
Medicaid
Child Health Plus
Family Health Plus
Health First N.Y. (COMM)
Health First (65) Plus
Healthnet (all plans)
Tricare Prime Remote and
Standard Program
HIP/HIP Access II
HMO
Healthcare Partners/IPA
HIP Select (EPO, PPO)
VIP (Medicare)
Prime
Medicaid
Child Health Plus
(G-A) CHP
Family Health Plus
DCN
Horizon
HMO
Vista
Vista Plus
PPO
Standard
Standard Plus
As you read through this issue of the Radiology
Letter, you will note that we are highlighting
research and education. We are welcoming back
two former faculty members, Barbara WajsbrotKandel, M.D. and Maryanna Mason, M.D. Dr. Kandel
returns to breast imaging services and also abdominal imaging. Dr. Mason has joined the general radiology section as well as abdominal imaging. These
two radiologists will assist the department for a quicker turnaround time
to your referrals and our commitment to having the best radiologists on
our staff. Joining our faculty is Dvorah Balsam, M.D., a noted pediatric
radiologist who will assume the role of Chief of Pediatric Radiology. She
comes to Stony Brook with many years of pediatric radiology experience
as a replacement for Thomas Smith, M.D. who retired as Chief of
Pediatric Radiology in September 2005.
The Radiology Department has collaborated with the School of Health
Technology and Management to establish baccalaureate training programs in Nuclear Medicine Technology and Radiology Technology. Our
plan for 2007 is the commencement of a masters’ level program in radiological science and radiology assistant. These programs support the
educational mission of the department and our service to the community.
Our research endeavors are highlighting virtual colonoscopy. The early
initial investigation and visualization software used by many has its
roots at Stony Brook. The new NIH grant (highlighted in the Letter) is
funding to further develop a computer generated artificial intelligence
protocol for examining the colon. A summary of the varied research
activities of the Department is highlighted which will contribute to the
future of medical imaging.
This is an exciting time to be involved with medical imaging at Stony
Brook. Imaging will be the leader in medical diagnosis in this century
through the modalities of MRI, CT and PET scanning and newer methods
on the horizon.
Our Department and faculty are committed not only to academic excellence
in training new radiologists but to the ongoing medical education for all
radiologists. Our research for new imaging techniques is a high priority as
well. This commitment supports our primary mission of excellence in
patient care utilizing the latest imaging equipment and the best faculty to
provide superior medical care and tertiary medical imaging.
THE R ADIOLOGY LETTER
The Radiology Letter is published by the Department of Radiology,
School of Medicine, University at Stony Brook, Stony Brook,
New York 11794
(631) 444-2480
Donald P. Harrington, M.D., M.A., F.A.C.R.
Michael J. Cortegiano
Christine R. Hubbard
Chairman
Administrator
Editor and Staff Writer
2
SPRING 2006
Independent Health
Island Group
JJ Newman
Local 1199
National Benefits Fund
Member’s Choice
Magna Care
Local 947, Local 3, Local 707
Maxon (Student Insurance)
MDNY
Direct HMO/POS
Classic HMO/POS
Focus/Flex
PPO
Medicaid Managed Care
Affinity
Fidelis Care of New York
Care Plus
Medichoice
MET Empire
Multiplan
Best Western
Oxford
Freedom Plan
Freedom Plan Preferred
Liberty Plan
Liberty Plan Preferred
Oxford HMO/Freedom Network
Oxford HMO/Liberty Network
Freedom Plan Select/
Freedom Plan PPO
Liberty Plan Select/Liberty Plan PPO
Oxford HMO Select/
Freedom Network
Oxford HMO Select/Liberty Network
Freedom Plan Metro
Oxford USA
Sierra
Suffolk Health Plan
Champus
United Healthcare
Child Health Plus Plan
Medicaid
Family Health Plus
USI (Select Pro)
Vytra
HMO
Suffolk County Vytra/PPO
East End Health Plan
(Vytra PPO Plan)
Direct Access HMO
Central Suffolk Hospital
(Peconic Health Corporation)
Southampton Hospital
Southside Hospital
Smart Start
Neighborhood Network Plan (EPO)
Suffolk Employees
School Health Plan (SSEHP)
Vytra Medicaid
PPO Cost Sharing Plan
Health Worldwide/SUNY Students
New Faculty
Dvorah Balsam,
M.D. joined the
faculty staff as a
Professor of
Clinical
Radiology in the
Division of
Diagnostic
Radiology and
Section of Pediatric Radiology and as
Chief of Pediatric Radiology. She
received her medical degree from the
Albert Einstein College of Medicine,
Yeshiva University in the Bronx, New
York, followed by a mixed
Medicine/Pediatric internship at the
Bronx-Lebanon Hospital Center in the
Bronx, New York. She completed a
Diagnostic Radiology residency at the
Albert Einstein Jacobi Medical Center
in the Bronx, New York and a Pediatric
Radiology fellowship at the Columbia –
Presbyterian Medical Center in New
York, New York. Dr. Balsam’s previous
appointment was at the Nassau
University Medical Center in East
Meadow, New York where she was
Chief of Pediatric Radiology and an
Attending in Pediatrics. Dr. Balsam is
Board Certified in Radiology and has a
Certificate of Added Qualifications in
Pediatric Radiology.
Maryanna Mason,
M.D. joined the
faculty staff as an
Assistant
Professor of
Clinical Radiology
in the Division of
Cross-sectional
Imaging. Dr.
Mason also worked at Stony Brook in
the same capacity from January 2002
to April 2003. She received her medical degree from the New York Medical
College in Valhalla, New York, followed
by a Pathology internship at North
Shore University Hospital in
Manhasset, New York. Dr. Mason completed a Diagnostic Radiology residency at the Long Island Jewish Medical
Center in New Hyde Park, New York
and a Cross-sectional Imaging fellowship at the State University of New
York at Stony Brook, New York. Dr.
Mason’s previous appointment was at
the St. Catherine of Siena Medical
Center in Smithtown, New York and
Good Samaritan Hospital Medical
Center in West Islip, New York where
she was Section Chief of Ultrasound.
Dr. Mason is Board Certified in
Radiology.
Meng Law, M.D. presented a lecture on
“Ultra-High Field & Parallel Neuro-Imaging”
on September 13, 2005. Dr. Law is an
Assistant Professor of Neurosurgery &
Radiology at New York University School of
Medicine at the New York University
Medical Center in New York, New York.
Nathaniel Reichek, M.D., F.A.C.C., F.A.H.A.
presented a lecture on “Cardiac MRI and
CTA in Patients with Coronary Artery
Disease” on November 10, 2005. Dr.
Reicheck a Professor of Medicine and
Director of Research and Education at the
St. Francis Hospital in Roslyn, New York.
Mark Schweitzer, M.D. presented a lecture
on “Shoulder MRI Clinical Pearls” on March
14, 2006. Dr. Schweitzer is the Director of
Musculoskeletal Radiology at the Hospital
for Joint Diseases/NYU Medical Center in
New York, New York.
Gary Israel, M.D. presented a lecture on
“MRI of the Female Urethra and Perineum”
on November 8, 2005. Dr. Israel is an
Associate Professor of Radiology and Chief
of CT at Yale-New Haven Hospital in New
Haven, Connecticut.
Mark Murphey, M.D. presented a lecture
on “Imaging of Soft Tissue Tumors: How to
Stay out of Trouble” on December 13,
2005. Dr. Murphey is the Chief of
Musculoskeletal Radiology at the Armed
Forces Institute of Pathology/University of
Maryland in Baltimore Maryland.
Barbara WajsbrotKandel, M.D.
returns to the
faculty staff as an
Assistant
Professor of
Clinical Radiology
in the Division of
Breast Imaging
and Cross-sectional Imaging. Dr.
Wajsbrot-Kandel also worked at Stony
Brook in the same capacity from July
1989 to July 2001. After leaving Stony
Brook in 2001, she worked at the Bay
Ridge Medical Imaging PC in Brooklyn,
New York. She received her medical
degree from the New York School of
Medicine, followed by a Pediatrics
internship at the Beth Israel Medical
Center in New York, and a Diagnostic
Radiology residency and
Ultrasound/Body CT fellowship at the
State University of New York at
Brooklyn. Other appointments include
the State University of New York at
Brooklyn, Kings County Medical Center
– Downstate, Brooklyn, New York and
the Lutheran Medical Center in
Brooklyn, New York. Dr. Kandel is
Board Certified in Diagnostic Radiology
and is a member of the American
Institute of Ultrasound in Medicine,
American Roentgen Ray Society and
Society of Breast Imaging.
Lectures
Larry Boxt, M.D. presented a lecture on
“CT Examination of the Heart” on April 11,
2006. Dr. Larry Boxt is the Director of
Cardiac MRI/CT at North Shore University
Hospital in Manhasset, New York.
Elliot Fishman, M.D. presented a lecture on
“CT Angiography: Techniques & Clinical
Applications” on May 9, 2006. Dr. Elliot
Fishman is Professor of Radiology and
Oncology and Director of Diagnostic
Imaging and Body CT at the Johns Hopkins
Hospital in Baltimore, Maryland.
THE RADIOLOGY LETTER
3
Departmental News
Dr. Zengmin Yan received a letter from a patient’s family
thanking him for finding a medical problem on an MRI
exam that was previously missed on prior studies.
Congratulations to Robert Matthews, M.D. who passed
Welcome to RoseMary Citrola, Ph.D.
who joined the Department as
Departmental Research Coordinator.
RoseMary will be working closely
with scientists, faculty, and research
staff to streamline the grant and
compliancy processes.
the written Board examination in Nuclear Cardiology
and is Board Certified in Nuclear Cardiology (CBNC).
The American College of Radiology (ACR) has just
published the 50th textbook of its well known
syllabus series used since the 1970’s for radiology
physician self education and resident board review.
Ultrasound III which was published December 2005
was edited by Barbara Hertzberg, M.D. of
Duke University Hospital, Michael Hill M.D. of
George Washington University Hospital and
Harris L. Cohen, M.D., the Editor in Chief of the
American College of Radiology’s syllabus series.
Dr. Cohen is on the faculty staff of the University
Hospital and School of Medicine at Stony Brook,
New York in the Department of Radiology.
Mark Schachter, Patrick Connors and Jason Mathew, three
of the graduates from the first graduating class of the
Nuclear Medicine Program, presented a research project
on the Benefits of SPECT and PET Fusion with Anatomical
Imaging Modalities and won second place out of sixteen
student presentations at the Annual Greater New York
Chapter Meeting of the Society of Nuclear Medicine.
Congratulations to Mohit Naik, M.D.
who was appointed Chief Resident.
Khaldoon Al-Dulaimy,
M.D., a Radiology
resident at Stony
Brook and Harris L.
Cohen, M.D.,
Professor of Radiology
and Director of Body
Imaging coordinated
the Society of
Radiologists in
Ultrasound (SRU)
Unknown Case of
the Day Program for
the 2005 Annual
Meeting held in
October 2005.
Khaldoon Al-Dulaimy, M.D. (left) and Harris L. Cohen, M.D.
4
SPRING 2006
Harris L. Cohen, M.D. was chosen as one of three members
of the Radiologic Society of North America’s International
Visiting Professor Program. Dr. Harris L. Cohen of Stony Brook,
Dr. Alexander Norbash, Chairman of Boston University
School of Medicine’s Department of Radiology and
Dr. King Li, Chief of Molecular Imaging at the National
Institute of Health, lectured at several venues in Chennai and
Bangalore, India during the first two weeks of January 2006.
Mohit Naik, M.D. (left), Amit Patel, M.D. (front) and
Harris L. Cohen, M.D. (rear)
Dr. King Li, Dr. Alexander Norbash and Dr. Harris Cohen (left to right)
Mohit Naik, M.D. and Amit Patel, M.D., radiology residents at
Stony Brook and Harris L. Cohen, M.D., Professor of
Radiology, coordinated the RSNA’s Unknown Ultrasound
Case of the Day Program for the 2005 annual meeting held
in December. The RSNA meeting is one of the world’s
largest health related meetings with an attendance of about
50,000 individuals. Drs. Naik and Patel were awarded
Certificates of Appreciation for their work by the RSNA.
Medical Imaging Research News
Jerome Z. Liang, Ph.D., Professor of Radiology,
Computer Science, and Physics & Astronomy, was
invited to give a lecture tour in China this past
summer on his research interests in 3D image-based
diagnosis, treatment planning and follow-up evaluation. Dr. Liang has lectured several times on Medical
Imaging Informatics – from image formation and processing to visualization. The photo shows his lecture
at XinJiang University. Dr. Liang also lectured at
Beijing University, ZheJiang University and Shanghai
University for Science and Technology. For detailed
information on his research activities, please visit the
Laboratory for Imaging Research and Informatics
(IRIS): website at www.mil.sunysb.edu/iris.
THE RADIOLOGY LETTER
5
Benefits of Fusion Imaging
by Robert Matthews, M.D. and William Stanley, C.N.M.T.
Patient
appointments
can be made
by calling
(631) 444-1880.
Fusion imaging is the superimposing of anatomical and
functional images in order to better define and localize
lesions. Various combinations of fusion imaging are
possible including PET/CT, PET/MRI, SPECT/CT,
SPECT/MRI, SPECT/US, and others. Using fusion software allows for co-registration, in which images are combined from different systems acquired at different times.
Areas such as the brain are easier to perform fusion
since patient variation is less likely. More difficult areas
include the thorax, which may have different arm position, respiratory cycles, and body rotation. Repetition of
the same position is essential for adequate fusion co-registration. These topics were discussed in a paper entitled
“Benefits of SPECT and PET Fusion with Anatomical
Imaging Modalities” presented by Mark Schachter,
Patrick Connors, and Jaison Mathew at the Greater New
York Society of Nuclear Medicine Symposium.
the location of recurrent tumor compared to either PET
or MRI alone. Two studies where fusion did not show
benefit were the gallium SPECT/CT and parathyroid
SPECT/CT. In these two studies, variation of patient positioning made co-registration difficult and the quality of
fusion images was compromised. Both brain PET/CT and
SPECT/CT fusion imaging were rated the highest in diagnostic confidence and quality of fusion due to the fixed
anatomical location within the cavaria.
Figure 2. Following splenectomy for ITP, patient continued to have low
platelet count. CT scan was performed and interpreted as post-surgical
changes at the site of splenectomy. Denatured RBC SPECT/CT fusion
imaging clearly showed rejuvenated splenic tissue within surgical bed.
Fusion images allowed better pre-operative planning for the surgeon.
Figure 1. MRI demonstrated an enhancing lesion with associated edema
in the medial right frontal lobe. PET/MRI fusion imaging showed that
the area thought to represent edema was in fact new tumor growth, and
the enhancing lesion was necrotic tissue.
In this investigation of fusion imaging, we sought to evaluate fusion imaging impact on the interpretation of
nuclear medicine SPECT and PET studies. Eight studies
were selected in which SPECT or PET fusion images
were obtained within one month of anatomical imaging
with either CT or MRI scan. Cases included 3 brain
PET/MRI, 1 brain SPECT/MRI, 1 parathyroid SPECT/CT,
1 gallium SPECT/CT, 1 NeutroSpec SPECT/CT, and 1
denatured spleen SPECT/CT. Two radiologists were first
asked to evaluate the CT or MRI images alone, then
assess SPECT or PET images alone, followed by interpretation of combined fusion images.
For a majority of the cases, the radiologists demonstrated
greater confidence of diagnosis with fusion imaging than
with either study alone. In one case involving the evaluation of brain metastasis, PET/MRI fusion images changed
6
SPRING 2006
Current trends in radiology are to install fixed PET/CT and
SPECT/CT cameras to take full advantage of combined
physiological and anatomical imaging. Our research validates this trend, demonstrating that SPECT and PET
fusion images with CT and MRI prove to be helpful when
there is good quality of co-registration. The combination
of two modalities clearly enhances the definition of
lesions allowing for more accurate diagnosis. Both
patients and referring physicians would benefit from the
higher diagnostic certainty derived from fusion imaging.
Clinical Confidence per Imaging Modality
MRI or CT
PET or SPECT
Fusion
Brain PET-MRI
Brain SPECT
-MRI
Gallium SPECT
-CT
NeutroSpec
SPECT-CT
Spleen
SPECT-CT
Parathyroid
SPECT-CT
Figure 3. Radiologists indicated higher diagnostic confidence with
fusion images compared to either modality alone when there is good
quality of co-registration.
Radiologic Technology and Nuclear Medicine
Technology Programs
by Terry M. Button, Ph.D.
The Department of Radiology has joined with the Health
Sciences Program in the School of Health Technology and
Management to form new concentrations of study in
Radiologic Technology and Nuclear Medicine Technology.
These two new programs unite the resources of the Hospital
and the University; uniquely modify the old “four plus one format” of education. Students are both liberally and clinically
educated in the four years spent completing the Bachelor of
Science in Health Science degree. The 12-month post-baccalaureate clinical training hosted by University Hospital’s
Department of Radiology concludes the student’s education. It
is upon successful completion of both educational components that students are then eligible to take the National
Registry Examination.
We are proud to have both Mr. Joseph Whitton serve as the
Radiologic Technology Program Director and Mr. William
Stanley serve as the Nuclear Medicine Technology Program
Director. Our inaugural class of students boasts 14 students in
Radiologic Technology and 13 students in Nuclear Medicine
Technology.
Finally, work is underway to expand the Department of Radiology
and the School of Health Technology and Management’s successful collaborative relationship by developing a Master of
Science in Radiological Science. Two specific tracks are planned
with an anticipated start date of September 2007:
Imaging Track – This program is designed for advanced
clinical studies in Medical Imaging. Radiology Residents
will be enrolled in this program with each earning a
Masters of Science in addition to credentialing in
Diagnostic Radiology
Radiology Assistant – Legislation has recently been changed
in New York State to allow the credentialing of the Radiology
Assistant (RA). This program will enroll certified Radiologic
Technologists that hold an appropriate Baccalaureate
degree. The responsibilities of the RA are equivalent to that
of a physician’s assistant (PA) but as it relates to Radiology.
Dr. Moore has agreed to oversee this program
In addition, a one-year continuing education program has
been formed in Magnetic Resonance Technology. This is very
fitting given that University Hospital’s Professor Lauterbur
received the Nobel Prize in Medicine for discovery of this
imaging technology at Stony Brook. This program is overseen
by Dr.Terry Button.
Joseph Whitton
(left) and
William Stanley
Research
by RoseMary Citrola, Ph.D
Research continues to be a priority in the Radiology
Department. 2005 ended with over 60 active research
projects approved by the Office of Research Compliance.
19 of the projects are interdisciplinary collaborations with
members of the following divisions: Biomedical Imaging,
Diagnostic Radiology, Breast Imaging, Nuclear Medicine,
Body Imaging, Ultrasound, Interventional Radiology,
Electrical Engineering, Computer Science,
Neuroradiology, Thoracic Imaging, MRI Research,
Computed Tomography, Cross-sectional Imaging and
Medical Physics.
Multi-disciplinary collaborations with the following departments has developed to include 27 studies with members of Surgery, Pulmonary Diseases, Psychology,
Pediatrics, Anesthesia, Biomedical Engineering, Clinical
Neurology and Psychiatry. The Department of Radiology
continues to lead the way with hospital collaborations.
By working with such groups as SUNY Downstate,
Winthrop Hospital, Columbia Presbyterian, Brookhaven
National Labs and the United States Navy, United States
Army, and Department of Defense, researchers can
share, validate and build upon each members information instead of duplicating research.
In 2006, the science community can expect to see
ground-breaking data from the Department of Radiology
research in the following areas: Dynamic Infrared
Imaging, Thyroid Tissue Imaging, SPECT Image Quality
and Speed, Virtual Colonoscopy, Bladder, Tumor Imaging,
Multi-Slice Coronary Angiography, Nano-bubble technology for Acute Ischemic Stroke, Lung Cancer Staging,
Embolization Therapy for Brain Arteriovenous
Malformation, High Resolution MRI for Epilepsy,
Biomechanics of Dementia and Hydrocephalus, Fluid
Interaction of Abdominal Aortic Aneurysms, 3D for Breast
Abnormality Detection.
THE RADIOLOGY LETTER
7
R ADIOLOGY LETTER
A Radiologist’s Approach to Imaging Vistas
n
State University of New York at Stony Brook
DEPARTMENT OF RADIOLOGY
Room 120, L4 Health Sciences Center
State University of New York at Stony Brook
Stony Brook, New York 11794–8460
Faculty & Staff
Donald P. Harrington, M.D., M.A., F.A.C.R.
Professor and Chairman
Professor of Biomedical Engineering
Radiologist-in-Chief
Harris L. Cohen, M.D., F.A.C.R.
Professor of Radiology
Associate Chair for Research Activities
Director of Body Imaging
Chief, Ultrasound
Chief, Pediatric Body Imaging
Dvorah Balsam, M.D.
Professor of Radiology
Chief, Pediatric Radiology
Arie E. Kaufman, Ph.D.
Professor of Radiology and Computer Science
Jerome Z. Liang, Ph.D.
Professor of Radiology and Computer Science
Harold L. Atkins, M.D.
Terry M. Button, Ph.D.
Corazon J. Cabahug, M.D.
Erica J. Posniak, M.D.
Associate Professor of Clinical Radiology
Director of the Medical Physics Track in Biomedical
Engineering
Director Medical Imaging Technology Program in
School of Health Technology and Management
Assistant Professor of Clinical Radiology
Director, Division of Nuclear Medicine
Assistant Professor of Clinical Radiology
Division of Cross-sectional Imaging
Bruce M. Chernofsky, D.O.
Luminata A. Tudorica, Ph.D.
Assistant Professor of Clinical Radiology
Division of Neuroradiology
Instructor of Research Radiology
Associate Professor of Clinical Radiology and Surgery
Division of Diagnostic Radiology and Breast Imaging
Director, Breast Imaging
Sheri L. Ford, M.D.
Assistant Professor of Clinical Radiology
Division of Cross-sectional Imaging
Gene R. Gindi, Ph.D.
Dinko Franceschi, M.D.
Paul R. Fisher, M.D.
Assistant Professor of Clinical Radiology
Division of Nuclear Medicine
Assistant Professor of Clinical Radiology
Division of Angiography and Interventional
Radiology
Elaine S. Gould, M.D.
Margaret Johnstone, M.D.
Mark E. Wagshul, Ph.D.
Associate Professor of Clinical Radiology and
Orthopaedics
Director, Core/Orthopaedic Radiology
Administrative Director MR
Assistant Professor of Clinical Radiology
Division of Breast Imaging
Assistant Professor of Clinical Radiology
Director of MRI Research
Anthony R. Lubinsky, Ph.D.
Barbara Wajsbrot-Kandel, M.D.
Assistant Professor of Research Radiology
Principle Research Scientist
Assistant Professor of Clinical Radiology
Division of Breast Imaging and Cross-sectional
Imaging
James V. Manzione, M.D., D.M.D.
Associate Professor of Clinical Radiology
and Neurological Surgery
Director, Division of Neuroradiology
Steven Perlmutter, M.D., F.A.C.R.
Professor Emeritus of Clinical Radiology
John A. Ferretti, M.D.
Clemente T. Roque, M.D.
Professor of Clinical Radiology
Associate Chair, Quality Assurance
Director, Angiography and Interventional Radiology
Associate Professor of Clinical Radiology and Neurology
Division of Neuroradiology
Jack S. Deitch, M.D.
Morton A. Meyers, M.D.
Professor Emeritus of Radiology
Sol Spector, M.D.
Associate Professor of Clinical Radiology
Division of Diagnostic Radiology
Chief, GI/GU, Emergency
Zvi H. Oster, M.D.
Wei Zhao, Ph.D.
Professor Emeritus of Radiology
Associate Professor of Research Radiology
Medical Physicist
Robert G. Peyster, M.D.
Professor of Radiology and Neurology
Division of Neuroradiology
Paul L. Vitulli, D.O.
Associate Professor of Radiology and
Electrical Engineering
Associate Professor of Clinical Radiology
Medical Director, Department Clinical Service
Division of Diagnostic Radiology and Crosssectional Imaging
Director, Residency Program
Professor Emeritus of Radiology
Assistant Professor of Clinical Radiology
Division of Breast Imaging
G. Lucy van de Vegte, M.D.
Alan B. Bennie, M.D.
Assistant Professor of Clinical Radiology
Division of Angiography and Interventional Radiology
Seth O. Mankes, M.D.
Associate Professor of Clinical Radiology
Division of Cross-sectional Imaging
Maryanna Mason, M.D.
Assistant Professor of Clinical Radiology
Division of Cross-sectional Imaging
Zengmin Yan, M.D.
Assistant Professor of Clinical Radiology
Division of Neuroradiology and Cross-sectional
Imaging
Marlene L. Zawin, M.D.
Assistant Professor of Clinical Radiology
Division of Nuclear Medicine
Assistant Professor of Clinical Radiology
Division of Cross-sectional Imaging
Chief, Computed Tomography
Hong Meng, M.D.
ADMINISTRATIVE STAFF
Robert Matthews, M.D.
Assistant Professor of Clinical Radiology
Division of Cross-sectional Imaging and Diagnostic
Radiology
Chief, Body MRI
William H. Moore, M.D.
Michael J. Cortegiano
Administrative Officer
Patricia George
Medical Practice Plan Administrator
Assistant Professor of Clinical Radiology
Division of Diagnostic Radiology
Chief of Thoracic Imaging
Anthony Indelicato
Roxanne B. Palermo, M.D.
Maria Wolfe, R.T.
Assistant Professor of Clinical Radiology
Division of Breast Imaging and Cross-sectional Imaging
Associate Hospital Director of Radiology and
Cardiology
Hospital Director of Radiology and Cardiology